Steyn K, Rossouw J E, Joubert G
Centre for Epidemiological Research in Southern Africa, South African Medical Research Council, Parowvallei, CP.
S Afr Med J. 1990 Jul 21;78(2):61-3.
A cross-sectional study of risk factors for coronary heart disease in a random sample of 976 people from a South African coloured population revealed this group to be at great risk. The prevalences of individual and of coexisting reversible risk factors--hypercholesterolaemia, hypertension and smoking--were highest in the older subjects, who use medical services more often. One or more of the three risk factors was present in 80% of men aged 45 years or over. Smoking was the most common single risk factor for both sexes, and almost 30% of women aged 45 years or over were hypertensive. Hypertension and smoking was the most common combination for males and hypertension and hypercholesterolaemia the most common for females. Medical personnel could identify and treat these very-high-risk patients if they were to screen for all the risk factors after identifying any one risk factor. Younger people at risk and particularly younger men, who rarely utilise health services, should be reached at their workplace for early identification of risk factors.
一项针对南非有色人种人群中976人的随机样本进行的冠心病危险因素横断面研究表明，该群体面临着极大风险。个体及并存的可逆性危险因素（高胆固醇血症、高血压和吸烟）的患病率在老年受试者中最高，而老年受试者更常使用医疗服务。在45岁及以上的男性中，80%存在三种危险因素中的一种或多种。吸烟是两性中最常见的单一危险因素，45岁及以上的女性中近30%患有高血压。高血压和吸烟是男性中最常见的组合，高血压和高胆固醇血症是女性中最常见的组合。如果医务人员在识别出任何一种危险因素后对所有危险因素进行筛查，就能够识别并治疗这些高危患者。对于有风险的年轻人，尤其是很少使用医疗服务的年轻男性，应在其工作场所对他们进行筛查，以便早期识别危险因素。
